title: Successful treatment of a heterotopic pregnancy by sonographically guided instillation of hyperosmolar glucose.
abstract: OBJECTIVE
  To describe a new conservative approach in the treatment of heterotopic pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A university hospital and an outpatient IVF center.
  
  
  METHODS
  Transvaginal ultrasonography-guided puncture of the ectopic gestational sac and instillation of hyperosmolar glucose.
  
  
  RESULTS
  The ectopic pregnancy resolved without further intervention. The intrauterine pregnancy resulted in a full-term live birth.
  
  
  CONCLUSIONS
  Transvaginal injection of hyperosmolar glucose may be an effective conservative treatment for unruptured ectopic pregnancies in cases of heterotopic pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Vienna Medical School and Institute of Sterility Treatment, Austria. Heinz.Strohmer@akh-wien.ac.at
authors.forename: H
authors.initials: H
authors.lastname: Strohmer
authors.forename: A
authors.initials: A
authors.lastname: Obruca
authors.forename: R
authors.initials: R
authors.lastname: Lehner
authors.forename: C
authors.initials: C
authors.lastname: Egarter
authors.forename: P
authors.initials: P
authors.lastname: Husslein
authors.forename: W
authors.initials: W
authors.lastname: Feichtinger
mesh_terms: D000328:Adult; D005260:Female; D005947:Glucose / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D009994:Osmolar Concentration; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000628:therapy*; D011272:Pregnancy, Multiple; D011677:Punctures; D013396:Suction; D014463:Ultrasonography
chemical_list: D005947:Glucose